PLEASANT VALLEY DENTAL (NPI# 1790921989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921989 |
| Entity Type | Organization |
| Organization Name | PLEASANT VALLEY DENTAL |
| Other Organization Name | PLEASANT VALLEY DENTAL, GENERAL DENTAL PRACTICE OF MITCHELL A. GOODIS, |
| Practice Address |
6400 Pleasant Valley Rd El Dorado CA 95623-4230 |
| Mailing Address |
Po Box 568 El Dorado CA 95623-0568 |
| Practice Telephone | 5306222862 |
| Practice Fax Number | 5306222072 |
| Mailing Telephone | 5306222862 |
| Mailing Fax Number | 5306222072 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | DR. MITCHELL A GOODIS (DENTIST) |
| Authorized Official Telephone | 5303440290 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D43010 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI FROM PRIMARY OFFICE AT DIAMOND SPRINGS DENTAL CENTER | 1854195417 | 01 |
| Other Name | Type Code |
|---|---|
| Pleasant Valley Dental, General Dental Practice of Mitchell A. Goodis, | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306991005 | Pleasant Valley Dental | Dentist | 305 Cayuga Ave, Altoona, PA 16602-4323 | 2007-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PLEASANT VALLEY DENTAL HEALTH, P.C. | 380 Merrimack Street, Suite 3e, Methuen, MA 01844 |
| Street Address |
6400 PLEASANT VALLEY RD |
| City | EL DORADO |
| State | CA |
| Zip Code | 95623-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992998496 | Siri Kate Ziese | Dentist | 6400 Pleasant Valley Rd, El Dorado, CA 95623-4230 | 2007-08-20 |
| 1174026264 | Siri K. Ziese Dds Inc. | Clinic/Center | 6400 Pleasant Valley Rd, El Dorado, CA 95623-4230 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877884 | Laura Hope Jassowski | Specialist/Technologist | 4808 East China Hill Rd, El Dorado, CA 95623 | 2016-09-01 |
| 1629449228 | Milo A Laguna | Counselor | 6741 State Highway 49, El Dorado, CA 95623 | 2015-10-08 |
| 1740588029 | Chris Lee Hamman | Specialist | 6308 Pollock Ave., Eldorado, CA 95623 | 2011-03-10 |
| 1811196603 | Martin Yablonovsky | Chiropractor | 6211b Pleasant Valley Rd, El Dorado, CA 95623-4232 | 2007-07-12 |
| 1437710191 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5343 Spreading Oak Ln, El Dorado, CA 95623-4532 | 2019-06-24 |
| 1427280551 | Jeffrey James Weiland | Specialist/Technologist, Other | 4867 Summit View Dr, El Dorado, CA 95623-4601 | 2009-08-24 |
| 1700293966 | Shan Katherine Haley | Registered Nurse | 7221 Cinnabar Ct, El Dorado, CA 95623-4852 | 2014-07-18 |
| 1730245762 | John H. Prock | Marriage & Family Therapist | 6980 Crystal Blvd, El Dorado, CA 95623-4866 | 2006-12-27 |
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1437598802 | Clements Family Dentistry | Dentist | 700 W Faulkner St, El Dorado, AR 71730-4521 | 2013-06-19 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1770755118 | Larkin Monroe Wilson IIi | Dentist | 800 Mount Holly Rd, El Dorado, AR 71730-4542 | 2008-03-26 |
| 1801091012 | Ryan Warner Hanry | Dentist | 347 W Oak St Ste B, El Dorado, AR 71730-4564 | 2007-06-18 |
| 1750403648 | Len Don Brotherton | Dentist | 419 Thompson Ave, El Dorado, AR 71730-4553 | 2007-04-04 |
| 1104995786 | Daniel D Cyphers | Dentist | 519 W Faulkner, El Dorado, AR 71730 | 2006-11-07 |
| 1174638498 | Dean T Weddle | Dentist | 106 West Main, #212, El Dorado, AR 71730-5635 | 2006-08-19 |
| 1508870429 | Dorothy J Mcgarity | Dentist | 926 N Madison Ave, El Dorado, AR 71730-4629 | 2006-07-28 |
| 1548798820 | Michael Adams | Dentist | 535 S Main St, El Dorado, KS 67042-3517 | 2017-05-31 |
| Find all providers in EL DORADO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.